回盲部异常韧带切断预防原发性小儿肠套叠手术复位后复发

The effective measure for prevention of recurrence of ileocolic intussusception in children with cutting longitudinal ligament of ileocolic junction

目的探讨回盲部异常韧带切断是否有助于预防肠套叠复发。方法总结181例原发性小儿肠套叠患儿的资料,并追踪至术后2年。分析两种不同手术方法(单纯肠套叠复位;肠套叠复位+回盲部异常韧带切断)的患儿肠套叠的复发率。结果单纯肠套叠复位的患儿复发率为5.9%;肠套叠复位+回盲部异常韧带切断的患儿复发率为0。两组间的复发率比较差异有统计学意义(P<0.05)。结论与单纯肠套叠手术复位相比,回盲部异常韧带切断有助于预防原发性小儿肠套叠复发。

Objective To explore the effectiveness of cutting longitudinal ligament for prevention of relapse of intussusception in children after surgical correction.Ileopexy had no effect for preventing the recurrence of intussusception.The present study discussed the preventing effect of recurrence of intussusception by cutting longitudinal ligament of ileocolic junction.Methods The clinical data of 181 children undergoing surgical reduction of ileocolic intussusception were retrospectively reviewed.The incidence rate of recurrent intussusception was compared between following two surgical procedures： simple manual reduction and manual reduction plus cutting longitudinal ligament of ileocolic junction.Results There were five episodes of recurrence（5.9%） in patients with simple manual reduction and zero episode（0） in patients with another procedure.There was statistically significant difference in recurrence rate between these two groups.Conclusion Manual reduction plus cutting longitudinal ligament of ileocolic junction is better than simple manual reduction in preventing recurrence of ileocolic intussusception in children after operation.